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What is the difference between being a Testamur and being Certified in Echocardiography?

The title of "Testamur" is designated for successfully passing the Examination of Special Competence. This designation was chosen since applicants were not requested to supply information regarding successful completion of training dedicated to the study of Cardiovascular Disease nor completion of special training in echocardiography. Physicians who are certified in Echocardiography have provided documentation of their education and level of service, and satisfy the other requirements set by the NBE in addition to passing the examination. The title of "Diplomate" is designated for physicians who are certified in echocardiography and certification is valid for ten (10) years from the year that the Examination of Special Competence was passed.